Individual provider · Type 1 NPI

Charles Chisholm, BASW, QP

Addiction (Substance Use Disorder) Counselor · Greensboro, NC

NPI number 1275712952 Active

Practice location

201 N Eugene St
Greensboro, NC 27401-2221

Call (336) 641-4957 Map

Mailing address

902 Bonner Dr
Jamestown, NC 27282-8948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275712952

Charles Chisholm, BASW, QP's National Provider Identifier is 1275712952, issued on Oct 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greensboro, NC. The record was last updated on Oct 30, 2007.